Encompass Health Rehabilitation Hospital of Lakela


About the Facility

CMS Certification Number (CCN)
103050
Ownership Type
For Profit
CMS Region
Atlanta
Certification Date
Address
1201 Oakridge Pwy
Phone Number
(833) 635-2410

Facility Medical Condition Statistics

All other conditions
113
Brain disease or condition (non-traumatic)
48
Brain injury (traumatic)
19
Hip or femur fracture
56
Hip or knee replacement, amputation or other bone or joint condition
105
Nervous system disorder (excluding stroke)
211
Spinal cord disease or condition (non-traumatic)
11
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
106

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Catheter days
498
Predicted number of infections (B)
0.538
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
642
Denominator
643
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
12.4
Denominator
543
Average observed change score
13.1
Change in patients ability to move around
Average risk-adjusted change score
33.6
Denominator
543
Average observed change score
33.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
330
Denominator
543
Facility rate
60.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
345
Denominator
543
Facility rate
63.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
643
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.068
Comparative performance category
No Different than the National Benchmark
Patient days
7,504
Predicted number of infections (B)
2.806
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
179
Number of health care workers
248
Rate of flu vaccination
72.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
Not Available
Number of eligible stays
Not Available
Unadjusted potentially preventable readmission rate
Not Available
Risk-standardized potentially preventable readmission rate (RSRR)
Not Available
Lower limit of the 95% confidence interval on the RSRR
Not Available
Upper limit of the 95% confidence interval on the RSRR
Not Available
Comparative performance category
Not Available
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
Not Available
Number of eligible stays
Not Available
Unadjusted potentially preventable readmission rate
Not Available
Risk-standardized potentially preventable readmission rate (RSRR)
Not Available
Lower limit of the 95% confidence interval on the RSRR
Not Available
Upper limit of the 95% confidence interval on the RSRR
Not Available
Comparative performance category
Not Available
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
Not Available
Number of eligible stays
Not Available
Observed discharge to community rate
Not Available
Risk-standardized discharge to community rate
Not Available
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
Not Available
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
Not Available
Comparative performance category
Not Available
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
Not Available
Number of eligible episodes
Not Available
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
633
Denominator
643
Facility rate
98.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
643
Facility observed rate
1.1
Facility risk-adjusted rate
1.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
200
Number of health care workers
244
Rate of COVID-19 vaccination
82.0